Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $8,317.64 / $18,620.87	Facility		$1,412.54	$8,317.64	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,995.26 / $3,388.44	Facility		$707.95	$1,995.26	$3,388.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,479.11 / $2,951.21	Facility		$794.33	$1,479.11	$2,951.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $1,548.82	Facility		$1,230.27	$1,479.11	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,047.13	Facility		$1,023.29	$1,023.29	$1,047.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $15,488.17	Facility		$5,370.32	$8,128.31	$15,488.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $16,595.87	Facility		$1,995.26	$10,000.00	$16,595.87